A Toxtron Company 

14 May 2010 

IN REPLY, REFER TO: 

L390-10-1677 

Federal Aviation Administration 

AGC-10 

800 independence Avenue SW 

Washington, DC 20591 

Reference: Petition for exemption from Title 14 CFR § 61.77(aXl), Hans Hermansson 

To Whom It May Concern: 

This letter is to request a grant of exemption from Title 14 CFR § 61.77(aXl)- The purpose of 

this petition is ro permit Mr. Hans Hermansson to utilizie his Sweden issued ATP license and 

Class 1 Medical Certificate while serving as a required pilot flight crewmember during 

Operational Evaluation Board (OEB) flights of U.S. registered Cessna Model 525C in lieu of 

holding U.S. pilot certificates and ratings, in conjunction with the issuance of a Special Purpose 

Pilot Authorization. 

in accordance with Title 14 CFR § 11.83,1 am submitting the following information to request a 

grant of exemption from Title 14 CFR § 61.77(aXl). 

(a) This request is prepared by, and additional information can be obtained from: 

Chad Groene 

Cessna Aircraft Company 

One Cessna Blvd, Wichita KS 67277 

Phone:316-517-5374 

Fax: 316-206-5262 

cmgroene@cessna.texlron .com 

(b) Cessna Aircraft Company specifically requests exemption from Title 14 CFR § 61.77(aX 1 )-

(c) Cessna Aircraft Company seeks relief from Title 14 CFR § 61.77(aXl) to utilize Mr. 

Hermansson who holds a Sweden Airline Transport Pilot License to fly U.S. registered Cessna 

Model 525C on OEB flights in the United States in heu of holding U.S. pilot certificates and 

ratings, in conjunction with the issuance of a Special Purpose Pilot Authorization. 

(d) As a part of the aircraft certification and type rating process, Cessna Aircraft Company has 

requested OEB flights of Cessna Model 525C be conducted by £uTx>pean Aviation Safety Agency 

(EASA). Mr. Hermansson is one of the pilots whom EASA has contracted to conduct this 

evaluation. 

(e) Cessna Aircraft Company believes that since Mr. Hermansson holds valid and current Sweden 

Airline Transport Pilot License he is adequately qualified and proficient to conduct OEB flights 

Cauna Alreraft Company One Cessna Boulevard. P.O. Box 7704, Wichita, Kansas 67277-7704. 316/517.«000 
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OEPARTMIiNl" Of TRANSPORTATION 

FEDERAL AViAi'lON ADMINISTRAHON 

Kuriu Approved OMB Nv: 212IM(7Z4 

Kxplrcs, January 31, zun 

VerificatioD of Authenticity of Foreign License, Rating, and Medical Certification 

Bui c Airman Information 

1. M4tBe »* ii appcan on vuur foreien license. 

Lust Firti Middle 

HERMANSSON HANS E R 

2. Date of Birth 

Month Day Vcir 

07/30/56 

3.JriiccurBirth 

GAVLE 

4. Address yau wunt your copy of the verUlcailon letter oiulcd «». 

AKERMANSGATAN 25 

5. City, StaU, Zip Code (Cciunlry if oppljcabk) 

BORLANGE, SE.784 65 SWEDEN 

6. CltizcDsbip 

SWEDISH 

Certificmte or Rating Applied For on Basis of: 

7. Vcf«ifu Lk'cniir 

Issued by 

7a. Couutry 

SWEDEN 

7b, Grade of Ljcenac 

ATPL 

7c. NumiKT 

SE-5607307633 

7d. Rtiiiri(ii (Enter all rulings thnt appear o«i your forcigo l!c«i)!»e) 

SE PISTON, ME PISTON, TMG, MICROLlGHT CLASS B, CESSNA SET. BAe ATP, BE2Q0. IR/ME/SP, CRI/ME (A), Fl (A) 

8- Is your t'oritign liccnu under «n order of rcvocilion or auspcnsioo by the foreign coumry that issued your licenae? 

Yes D No 0 

9. Do you hold a Current foreign 

Medktil Ccrtitia^ie or ifudorscmcat? 

Y«a|7] N>D 

9a. Class of 

Cerlillcalc 

CLASS 1 

9b. Date Issued 

04/06/10 

9c. Date Expired 

05/04/11 

9d. Nameaf E&uminer 

ROLF NILSSON 

lu. Please provide the U.S. certificate and racing you will be applying for: 

ATPL, CE-S25 C (CJ4) 

II, PIcue provide the locatioD of the Flight Standards Di^trictOIfke (FSDO) where you intend to make application. (Si-ltcl l~A.\ ISbO frnui 

liM |)rovide(U 

WICHITA. KS 

r«lepbone itumber where you can be readied 

•46 708 532 192 

EMAIL Addrc«« 

hans.hermar\sson@tfan3port5tvrelsen.se 

Applkant'i Cerilficution - I certily that ill siitcmcots and Hii»w«n provided by me on this uppllcation form are compleM and true ta the best 

of my knovrlodgc and I agree that they art to be cunHdcr«d as parr uf (he basin for issujtnce of my KAA certificaic TO me. 1 auifaorixc the 

issuing CA A to provide all pertinent inrormallon to the PAA. [ have also read and understand ifac Privacy Act statement that accumpanie> 

thii: fural. ±f. C)^ln 

Signature of Applicant Date 

I0_ 

Attachments Must Include All ollbc Following: 

[ /] Copy of Foreign License |y 1 Copy of Medical License or Endonement | | Copy of Englllh Transcriptlow of 

License (If Applicable) 

ri./£ASK M.\LI. C:0>li'LK'l'KU loOKM 'I'O: Department of Transportation, J'cdeni Aviation Admini&trHlion, Airmen Certintailon liranch, 

Al'S-7()t). W.) Bof Z-«"82.Oklalcanm Ciiy,OM. 7312.^, 

AC form 80<S0-7I (1 CI/09) Superseds;: previous edition 

0T 39yd 9NI>1WW3ina JO 3D I J JO Si0Si92202 it?:ST 0T0S/8T/S0 
Training Request Information: 

Training Request: 308780 

Date of Request: 20100416222546 

Category: 2 

U.S. recognized Ainnan Certificate from a Foreign Country; Yes 

Security Approved Foreign Air Carrier Employee: No 

Unescorted Access to Airport Secured Areas: No 

Flight Crew Member with Criminal History Check: No 

TSA Approved Non-threat Class: No 

Start Date: 06-07-2010 

End Date: 06-29-2010 

Course Number: 00010000231062 

Name of Course: CJ4 Initial Pilot Training 

Candidate Information: 

First Name: Hans 

Middle Name: Erik Roland 

Last Name: Hermansson 

Gender Code: Male 

Height in inches or centimeters: 180 

Weight in pounds or kilograms: 82 

Measurements Type: Metric 

Eye Color: Green 

Hair Color: Gray 

Date of Birth: 07-30-1956 

Birth Date Type: Exact 

Country: Sweden 

Nationality: Swedish 

Candidate has Aliases/AKAS: No 

Citizenship: 

Status: Cunent 

Country: Sweden 

Start Date: 07-30-1956 

End Date: PRESENT 

Identification: 

Type of Identification: Passport 

Type of Identification Qualifier: Regular 

Identification Number: 53792756 

Status Code: Current 

City: Borlange 

IT 39yd 9NI>1W3ina JO 3DIJJ0 Si0SZg2S02 it-igi 0T0S/8T/90 
Country: Sweden 

Date of Insertion: 04-14-2010 

Start Date: 07-27-2007 

End Date: 07-27-2012 

Identification: 

Type of Identification: Airman's Certificate 

Identification Number: SE-5607307633 

Status Code: Current 

Country; Sweden 

Certificate Type: (P A) Pilot Airline Transport Pilot 

Certificate Type Rating (Aircraft Type): BAE-ATP, BE-200 

Date of Insertion: 16-04-2010 

Start Date: 09-10-2009 

Identification: 

Type of Identification: VISA 

Type of Identification Qualifier: A2 -- Foreign Government Official/Employee 

Identification Number: 20081904950001 

Status Code: Current 

Country: Sweden 

Date of insertion: 19-04-2010 

Start Date: 07-09-2008 

End Date: 07-07-2013 

Identification: 

Type of Identification: Airman's Certificate 

Identification Number: 2563783 

Status Code: Expired 

Country: United States Of America 

Certificate Type: (P C) Pilot Commercial 

Certificate Type Rating (Aircraft Type): BE-200 

Date of Insertion: 19-04-2010 

Start Date: 07-15-1997 

Address: 

Type: Current 

Street Address 1: Akermansgatan 25 

City: Borlange 

State or Province: Kopparbergs Lan 

Country: Sweden 

ZIP or Postal Code : 78465 

6T 39yd 9Ni>iyw3"ina JO 30IJJ O 5^.09^92203 IP-9 1 0102/81/90 
Telephone Number: -i-46 708 532 192 

Start Date: 10-01-1990 

End Date: PRESENT 

Employer: 

Employer: Swedish Transport Agency 

Occupation: Flight Inspector 

Point of Contact Name: Anders Pettersson 

Telephone Number: -K6 771 503 503 

Email Address; hans.h6nnansson@tiansportstyrelsen.se 

Faxed/Uploaded Document: 

Document ID: 796774 

Fax / Uploaded: Uploaded 

Original File Name: 

Document Type: Passport 

Document Size: 541445 

Faxed/Uploaded Document: 

Document ID: 797081 

Fax / Uploaded: Uploaded 

Original File Name: 

Document Type: Airman's Certificate 

Document Size; 58514 

Faxed/Uploaded Document: 

Document ID: 797083 

Fax / Uploaded: Uploaded 

Original File Name: 

Document Type: Airman's Certificate 

Document Size: 47197 

Faxed/Uploaded Document: 

Document ID: 797086 

Fax / Uploaded: Uploaded 

Original File Name: 

Document Type: Airman's Certificate 

Document Size: 23250 

Faxed/Uploaded Document: 

£1 39yd 9Ni>tyw3"ina jo 30IJJO 9^.09^92202 ix>-si 0T02/8T/90 
Document ID: 797088 

Fax / Uploaded: Uploaded 

Original File Name; 

Document Type: Airman's Certificate 

Document Size: 22295 

Faxed/Uploaded Document: 

Document ID; 797089 

Fax / Uploaded: Uploaded 

Original File Name: 

Document Type: Visa 

Document Size: 541445 

Flight Training Provider Information: 

Type of Provider: Part 142 

School Name: FlightSafety International - Wichita Cessna Learning Center 

FAA Certification Number: UJFX071K - U2UX 

State or Province: Kansas 

Flight Training Provider Address: 

Type: Current 

Street Address 1: 1851 Airport Road 

Street Address 2: PO Box 12323 

City: Wichita 

State or Province: Kansas 

Country: United States Of America 

ZIP or Postal Code; 67209 

Flight Training Provider Telephone Number: 

U.S orNon-U.S. Telephone: U.S. 

Type of Telephone; Business Telephone 

Telephone Number: 316-220-3100 

t-i 39yd 9Ni>tyw3ina jo JOIJJO 9^.09^92202 ^.t-isi 0102/8T/90